Dina Yerex, LPC, CADC III

 

Counseling for Individuals, Couples, and Families

Forms
Before your first appointment, please download the forms on the left below, choosing the Disclosure Statement for the office for which you are scheduled.
New Client Forms:

This section currently being revised.
Please contact Dina for more information.



Other Forms:

This section currently being revised.
Please contact Dina for more information.

Copyright 2009 by Dina Yerex, LPC, CADC III. Last updated 01/10/2022.

 
 
 

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